Organization · Type 2 NPI
El Dorado County CCS
Rehabilitation Clinic/Center · South Lake Tahoe, CA
NPI number
1730212937
Active
Practice location
1100 Lyons Ave
South Lake Tahoe, CA 96150-8252
Fax (530) 543-2275
Mailing address
931 Spring St
Placerville, CA 95667-4543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | None listed |
Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
About NPI 1730212937
El Dorado County CCS's National Provider Identifier is 1730212937, issued on Mar 14, 2007. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Aug 22, 2020.